Swanson, Marijane

Swanson, Marijane is an sole proprietor health care provider with primary practice located at 1700 Adams Ave Suite 103, Costa Mesa CA 92626-4865. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Swanson, Marijane can be contacted via phone (714) 556-2288.

Contact Information

Primary practice address
1700 Adams Ave Suite 103 Costa Mesa CA 92626-4865
Phone: (714) 556-2288
Fax: (714) 435-1745
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA 1592 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 1018159 Maryland

Profile Details

NPI number 1831345446
LBN Legal business name Swanson, Marijane
Credentials COTA/C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2008
Last updated Aug 14th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831345446 NPPES
California Other OTA 1592 CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
California Other 1018159 CALIFORNIA BOARD OF OCCUPATIONAL THERAPY

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